Provider Demographics
NPI:1821384108
Name:GIBBIE, JESSICA ARMSTRONG (MD)
Entity type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:ARMSTRONG
Last Name:GIBBIE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1900 44TH ST SE
Mailing Address - Street 2:
Mailing Address - City:KENTWOOD
Mailing Address - State:MI
Mailing Address - Zip Code:49508-5008
Mailing Address - Country:US
Mailing Address - Phone:616-685-8500
Mailing Address - Fax:616-685-8075
Practice Address - Street 1:1471 E BELTLINE AVE NE
Practice Address - Street 2:SUITE 101
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49525-4548
Practice Address - Country:US
Practice Address - Phone:616-685-8600
Practice Address - Fax:616-365-0057
Is Sole Proprietor?:No
Enumeration Date:2011-06-24
Last Update Date:2015-08-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301098607207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology